| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
35,486 |
32,895 |
$8.22M |
| X4011 |
State-specific procedure code |
16,073 |
14,564 |
$5.46M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
34,635 |
32,589 |
$5.14M |
| 85027 |
|
50,466 |
44,773 |
$3.84M |
| 80053 |
Comprehensive metabolic panel |
45,450 |
40,638 |
$3.65M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
16,773 |
15,420 |
$2.33M |
| 81025 |
|
11,487 |
10,554 |
$1.45M |
| 81001 |
|
16,653 |
15,227 |
$1.45M |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
17,575 |
15,689 |
$1.39M |
| 83690 |
|
12,912 |
11,781 |
$1.20M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,146 |
2,705 |
$1.07M |
| 83735 |
|
17,252 |
15,756 |
$438K |
| 71046 |
Radiologic examination, chest; 2 views |
3,633 |
3,398 |
$425K |
| 71045 |
Radiologic examination, chest; single view |
5,312 |
4,802 |
$243K |
| 84484 |
|
9,500 |
7,314 |
$242K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,150 |
3,007 |
$183K |
| 81003 |
|
3,960 |
3,625 |
$175K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
2,427 |
2,182 |
$166K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,124 |
4,598 |
$159K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
6,768 |
6,087 |
$159K |
| G0378 |
Hospital observation service, per hour |
361 |
270 |
$155K |
| 80306 |
|
3,935 |
3,644 |
$154K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
657 |
604 |
$132K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,464 |
1,361 |
$119K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,570 |
1,868 |
$107K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,178 |
1,055 |
$78K |
| 85610 |
|
1,061 |
963 |
$76K |
| Y7506 |
|
84 |
78 |
$68K |
| 87430 |
|
997 |
972 |
$50K |
| 82550 |
|
663 |
611 |
$42K |
| 85730 |
|
492 |
454 |
$41K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
762 |
682 |
$37K |
| 83880 |
|
1,488 |
1,357 |
$35K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,000 |
934 |
$31K |
| 87081 |
|
540 |
529 |
$27K |
| 82553 |
|
173 |
166 |
$25K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
118 |
64 |
$21K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
72 |
50 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
3,825 |
2,517 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
80 |
75 |
$9K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
39 |
36 |
$8K |
| J3490 |
Unclassified drugs |
2,943 |
2,428 |
$5K |
| 87428 |
|
381 |
348 |
$5K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
66 |
65 |
$4K |
| 83605 |
|
462 |
400 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
333 |
289 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
309 |
268 |
$2K |
| 29580 |
|
26 |
12 |
$2K |
| X4003 |
|
15 |
13 |
$2K |
| 76801 |
|
13 |
12 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
34 |
32 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
34 |
32 |
$1K |
| 87807 |
|
95 |
93 |
$859.50 |
| 73610 |
|
13 |
12 |
$491.63 |
| 87040 |
|
71 |
51 |
$441.32 |
| 84702 |
|
18 |
15 |
$294.77 |
| 87210 |
|
41 |
36 |
$139.63 |
| 82728 |
|
12 |
12 |
$83.43 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13 |
13 |
$79.43 |
| 87070 |
|
12 |
12 |
$29.10 |